NPI | 1548251234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00031358) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD31358) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2020-12-08 |