NPI | 1407078967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 245284) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT183993) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2021-08-18 |