| NPI | 1972531150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD22441) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD22441) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD22441) | |
| 208000000X Pediatrics (Licence: OR MD22441) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-01-13 |