| NPI | 1841455235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A101744) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D0072210) |
| 208000000X Pediatrics (Licence: CA A101744) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2022-11-30 |