NPI | 1508053190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60444237) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01056904A) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2020-12-08 |