| NPI | 1861627739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D84892) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DC MD041231) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME119865) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2023-05-09 |