NPI | 1508285735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A140584) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A140584) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2024-04-11 |