NPI | 1528038940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 85299) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238818) |
207L00000X Anesthesiology (Licence: FL ME 112285) | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2024-07-18 |