NPI | 1417153354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 25878) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME116141) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2021-10-06 |