NPI | 1467616714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 57288) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 57288) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 263348) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 01068923A) | |
Enumeration Date | 2008-07-16 |
Last Update Date | 2018-02-12 |