NPI | 1700905288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DE C10010937) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD424411) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2014-08-29 |