NPI | 1275510117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME151453) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 34901) |
207L00000X Anesthesiology (Licence: MN 41841) | |
Enumeration Date | 2005-12-30 |
Last Update Date | 2021-10-25 |