NPI | 1295925535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.066875) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT190045) |
207L00000X Anesthesiology (Licence: PA MD443825) | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2020-11-11 |