NPI | 1841639002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 275064) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 57.029082) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 275064) | |
Enumeration Date | 2013-06-21 |
Last Update Date | 2023-06-01 |