NPI | 1386634830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD20762) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101053390) |
207L00000X Anesthesiology (Licence: MD D57523) | |
Enumeration Date | 2005-10-26 |
Last Update Date | 2025-03-31 |