NPI | 1205822665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 1224) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 2948) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2024-10-04 |