NPI | 1225419146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NV 19483) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 19483) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2022-06-14 |