| NPI | 1952357030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 009491) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 32835) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-01-16 |