NPI | 1326296310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N3000) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 9167) |
207L00000X Anesthesiology (Licence: FL ME103913) | |
Enumeration Date | 2008-09-03 |
Last Update Date | 2022-09-20 |