NPI | 1093782096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N4486) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024028305) |
207L00000X Anesthesiology (Licence: PA MD426051) | |
Enumeration Date | 2006-03-08 |
Last Update Date | 2024-07-23 |