NPI | 1215946363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101241304) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 041029) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2019-08-30 |