NPI | 1588640726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME165157) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 28507) |
207L00000X Anesthesiology (Licence: MS 15112) | |
Enumeration Date | 2005-12-20 |
Last Update Date | 2023-12-07 |