| NPI | 1912091646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A71433) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 81299) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-52447) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-03-14 |