NPI | 1275777534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 25760) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 272934) |
207L00000X Anesthesiology (Licence: OH 57012451) | |
Enumeration Date | 2009-04-29 |
Last Update Date | 2023-06-07 |