NPI | 1851304588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD014420E) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD014420E) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2013-04-17 |