NPI | 1457474892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX N7271) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AK 7335) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: VA 0101240998) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2022-07-21 |