NPI | 1629067509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61531803) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A101808) |
207L00000X Anesthesiology (Licence: OH 35.129658) | |
Enumeration Date | 2005-10-14 |
Last Update Date | 2025-03-21 |