NPI | 1780645721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 35483) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 35483) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2013-04-18 |