NPI | 1922032283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A54249) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A54249) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A54249) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-12-06 |