NPI | 1972867240 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-13412) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2012018936) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MS 26070) | |
Enumeration Date | 2012-07-01 |
Last Update Date | 2020-07-23 |