| NPI | 1841432291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME104317) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL me104317) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2017-01-18 |