| NPI | 1821185927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 326720) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA MD-45616) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-45616) | |
| 208000000X Pediatrics (Licence: IA MD-45616) | |
| 207L00000X Anesthesiology (Licence: IA MD-45616) | |
| 2080H0002X (Licence: IA MD-45616) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2024-01-17 |