NPI | 1649242587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A54145) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A54145) |
208000000X Pediatrics (Licence: CA A54145) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A54145) | |
Enumeration Date | 2006-02-05 |
Last Update Date | 2024-04-11 |