NPI | 1629029830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-7854) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-7854) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-03-13 |