NPI | 1760702450 |
---|---|
Former Name | MISUZU KAMEYAMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 264575-1) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB11288900) |
Enumeration Date | 2010-06-04 |
Last Update Date | 2023-01-17 |