NPI | 1205028966 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 066908) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 237017) |
207L00000X Anesthesiology (Licence: MA 249887) | |
207R00000X Internal Medicine (Licence: MD P21895) | |
Enumeration Date | 2007-08-15 |
Last Update Date | 2020-10-26 |