NPI | 1114155991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD439078) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD439078) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2022-12-30 |