NPI | 1144296229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 35508) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 35508) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2013-12-19 |