NPI | 1306872437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 8813619-1205) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2006-0121) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2021-10-26 |