NPI | 1164407904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P5574) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME85638) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2022-07-19 |