NPI | 1104919257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K6539) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 101661) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2023-10-17 |