NPI | 1275024820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A188036) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 647199) |
208000000X Pediatrics (Licence: WI 647199) | |
Enumeration Date | 2018-05-18 |
Last Update Date | 2024-05-14 |