| NPI | 1972867240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-13412) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2012018936) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MS 26070) | |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2020-07-23 |