NPI | 1487065108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A170600) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD045378) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2022-06-07 |