NPI | 1609293778 |
---|---|
Former Name | LIGAYA ROQUE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD217834) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR PG182662) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2024-02-06 |