NPI | 1568752921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD206341) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A125411) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2024-05-15 |