NPI | 1619915972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D41289) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD460738) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2017-06-01 |