NPI | 1023058146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS006352E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA OS006352E) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-09-11 |