| NPI | 1942696315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0062472) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0062472) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2022-09-26 |