NPI | 1316138126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 12484) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 37368) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2022-07-21 |