NPI | 1083656060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K6504) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD29600) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2025-08-01 |