| NPI | 1912139320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-8473) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A96416) |
| 207L00000X Anesthesiology (Licence: CA A96416) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A96416) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR E-8473) | |
| 208000000X Pediatrics (Licence: CA A96416) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2026-02-23 |