NPI | 1558306928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301093674) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GU M-2377) |
207L00000X Anesthesiology (Licence: VT 0420011014) | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2023-04-25 |