| NPI | 1790844017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DC MD13599) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: VA 0101035101) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D 004562) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |