NPI | 1669813218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-45060) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-45060) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2024-07-03 |