NPI | 1194924654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4868) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 2277) |
Enumeration Date | 2007-07-15 |
Last Update Date | 2018-06-11 |