NPI | 1194714196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 64389) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35086107) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2021-08-18 |