NPI | 1811099773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M5804) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD32615) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX M5804) | |
Enumeration Date | 2006-09-02 |
Last Update Date | 2014-02-27 |