NPI | 1568406114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: DE C10008527) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G87219) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DE C10008527) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2010-08-18 |