NPI | 1942696315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0062472) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0062472) |
Enumeration Date | 2015-04-12 |
Last Update Date | 2022-09-26 |