NPI | 1699709956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA G50550) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G50550) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-12-10 |