NPI | 1710391065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D91616) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL37110) |
Enumeration Date | 2014-06-15 |
Last Update Date | 2021-07-07 |