NPI | 1144584376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 59698) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301101588) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2019-09-11 |