| NPI | 1972716470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A108775) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A108775) |
| 207L00000X Anesthesiology (Licence: IA MD-52566) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-52566) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-03-14 |