NPI | 1871780841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 242125) |
Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MA 242125) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2023-05-31 |