NPI | 1306341698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA 20A20999) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A20999) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2023-09-06 |