NPI | 1497021208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD456845) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA mt204563) |
207L00000X Anesthesiology (Licence: CO DR.0056270) | |
Enumeration Date | 2012-03-26 |
Last Update Date | 2024-12-18 |