| NPI | 1881837458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD195958) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D73766) |
| 208000000X Pediatrics (Licence: MD D73766) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2020-02-15 |