NPI | 1386798189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2005025705) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 05-34533) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2019-06-11 |