NPI | 1114160991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A147411) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A147411) |
207L00000X Anesthesiology (Licence: CA A147411) | |
208000000X Pediatrics (Licence: CA A147411) | |
Enumeration Date | 2009-04-09 |
Last Update Date | 2019-06-28 |