| NPI | 1831485804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD457791) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT207967) |
| 207L00000X Anesthesiology (Licence: PA MT207967) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-11-02 |