NPI | 1689803421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME115482) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME115482) |
208000000X Pediatrics (Licence: FL ME115482) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2014-11-03 |