NPI | 1164539110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C179089) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 200911) |
207L00000X Anesthesiology (Licence: GA 059166) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2022-06-23 |