NPI | 1457325367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60621776) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD24325) |
207L00000X Anesthesiology (Licence: AZ 38092) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2019-09-16 |