NPI | 1871558015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: FL ME80641) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME80641) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2016-11-18 |