NPI | 1376924977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60922008) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-10342) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2019-06-27 |