| NPI | 1992169239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0093805) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101270711) |
| 208000000X Pediatrics (Licence: DC MD046956) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2025-12-31 |