NPI | 1578589719 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA C162477) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C162477) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 116180) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 116180) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C162477) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-04-10 |