NPI | 1285617720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G131395) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 034450) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2022-05-03 |