NPI | 1386131266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD211718) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10063368) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2022-08-06 |