| NPI | 1992119937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AR E-15356) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT207354) |
| 207L00000X Anesthesiology (Licence: AR E-15356) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-04-16 |