NPI | 1285677120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101057502) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME104878) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2022-07-21 |