NPI | 1205882354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI RI8492) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME139000) |
207R00000X Internal Medicine (Licence: RI 08492) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2024-04-05 |