NPI | 1124005244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C52714) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 35338) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2021-10-01 |