NPI | 1629110986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 44798) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01070386A) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2021-12-01 |