NPI | 1720170665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX 48184) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036147128) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036147128) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX 48184) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2024-02-19 |