NPI | 1750678207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 247456) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 247456) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2019-03-09 |