NPI | 1427012400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101011605) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 13123-321) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2025-07-31 |