NPI | 1396065736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CO DR.0054092) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0054092) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2024-04-22 |