NPI | 1063407815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA G72131) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G72131) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2021-12-17 |