NPI | 1033265616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 48619) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301089582) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301089582) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2021-04-01 |