NPI | 1265714786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 76244) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME168648) |
Enumeration Date | 2011-09-10 |
Last Update Date | 2024-06-14 |