NPI | 1275823858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q3559) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX q3559) |
Enumeration Date | 2011-04-15 |
Last Update Date | 2020-02-19 |