NPI | 1831150002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-16816) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-16816) |
207L00000X Anesthesiology (Licence: FL ME51023) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2023-08-29 |