| NPI | 1922001668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301094493) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301094493) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301094493) | |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2022-04-20 |