NPI | 1932499472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.141308) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 266042) |
207L00000X Anesthesiology (Licence: OH 35.141308) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036-137139) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A154389) | |
Enumeration Date | 2011-04-18 |
Last Update Date | 2024-05-06 |