NPI | 1134356827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 069407) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA oto12955) |
207L00000X Anesthesiology (Licence: PA OSO15877) | |
Enumeration Date | 2009-06-19 |
Last Update Date | 2019-08-20 |