NPI | 1548253354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 2963-320) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35063540) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2023-06-05 |