| NPI | 1871727578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-48391) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-48391) |
| 207L00000X Anesthesiology (Licence: NM MD2013-0117) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-06-03 |