NPI | 1538508320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO192395) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 04312) |
207L00000X Anesthesiology (Licence: IA DO-04984) | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2019-11-01 |