NPI | 1669638961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2008-01125) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2008-01125) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2017-09-05 |