NPI | 1467630566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO28607) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR DO28607) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD 467800555) | |
Enumeration Date | 2008-01-31 |
Last Update Date | 2018-10-19 |