NPI | 1003174368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 166991) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A140211) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2023-08-18 |