NPI | 1316328552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD201870) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 65271) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2021-10-26 |