NPI | 1215161807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2024019541) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 42188) |
207L00000X Anesthesiology (Licence: MO 2024019541) | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2025-07-23 |