NPI | 1578593380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 43811) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD18110) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-11-09 |