NPI | 1215389861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2018016658) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2018016658) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2024-04-25 |