| NPI | 1942258058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD030709E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD030709E) |
| 207L00000X Anesthesiology (Licence: PA MD030709E) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD030709E) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-06-09 |