NPI | 1679519813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME0070687) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME70687) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2012-09-07 |