NPI | 1962413393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: SC 29298) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 29298) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-10-21 |