NPI | 1033163134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD034095E) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 41621) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2019-11-05 |