NPI | 1326095506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301054713) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.141187) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2021-03-31 |