NPI | 1205397627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 250589) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 250589) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2020-06-25 |