NPI | 1427498849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-55061) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MS 25926) |
Enumeration Date | 2013-06-29 |
Last Update Date | 2025-08-29 |