NPI | 1528322294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP60647340) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL UO3053) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2023-01-30 |