NPI | 1285070755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.129253) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD476549) |
207L00000X Anesthesiology (Licence: NJ 25MA11590800) | |
Enumeration Date | 2013-05-10 |
Last Update Date | 2024-09-24 |