| NPI | 1871888453 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.144922) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101252307) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2023-10-11 |