NPI | 1174554026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA G47955) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G47955) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G47955) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2008-01-23 |