NPI | 1164519674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G68506) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G68506) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2025-09-11 |