NPI | 1417417817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 34.016345) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34.016345) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-10-29 |