NPI | 1104056803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q1713) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A111904) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A111904) | |
Enumeration Date | 2009-07-16 |
Last Update Date | 2024-08-01 |