| NPI | 1780971051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD468915) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD468915) |
| 208000000X Pediatrics (Licence: MD D84350) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD468915) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2022-12-30 |