| NPI | 1881854289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0053763) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 266116-1) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2013006231) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0053763) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2018-05-15 |