NPI | 1013996685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME33803) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME-33803) |
207L00000X Anesthesiology (Licence: FL ME 33803) | |
207L00000X Anesthesiology (Licence: TX J3469) | |
Enumeration Date | 2006-01-12 |
Last Update Date | 2021-01-12 |