NPI | 1740203488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-14249) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX L1596) |
207L00000X Anesthesiology (Licence: AR E-14249) | |
207L00000X Anesthesiology (Licence: TX L1596) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX L1596) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2021-08-18 |