NPI | 1033403407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME128105) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-11583) |
208000000X Pediatrics (Licence: FL ME 110408) | |
207L00000X Anesthesiology (Licence: GA 5462) | |
Enumeration Date | 2011-06-02 |
Last Update Date | 2021-11-23 |