NPI | 1063531218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2025-0545) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 80475) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NM MD2025-0545) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2025-05-23 |