NPI | 1265453559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A92969) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 245670) |
207L00000X Anesthesiology (Licence: FL ME111560) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2022-11-09 |