NPI | 1558401679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T4900) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A9234) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2022-07-25 |