| NPI | 1881071306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AZ 53267) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 53267) |
| 207L00000X Anesthesiology (Licence: AZ 53267) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2022-12-19 |