| NPI | 1871778191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0059558) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 44885) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 44885) | |
| Enumeration Date | 2008-01-05 |
| Last Update Date | 2018-03-17 |