NPI | 1235248006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME38827) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME0038827) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-04-15 |