NPI | 1386058576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD466203) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD466203) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2023-01-26 |