NPI | 1417033713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0048335) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 48335) |
Enumeration Date | 2006-10-29 |
Last Update Date | 2018-11-02 |