NPI | 1982734695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 54790) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 54790) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA 60003993) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 54790) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2019-05-07 |