| NPI | 1811042047 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A96327) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A96327) | 
| Enumeration Date | 2007-01-25 | 
| Last Update Date | 2024-04-11 |