| NPI | 1982632592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME102582) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E5990) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 10274) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-10-17 |