NPI | 1154308500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX G9889) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX G9889) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2019-08-29 |