NPI | 1376988303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A154301) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD P30088) |
207R00000X Internal Medicine (Licence: MD P30088) | |
Enumeration Date | 2013-05-03 |
Last Update Date | 2022-06-10 |