NPI | 1609039247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD442181) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME136931) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2024-11-15 |