NPI | 1639266455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP60006008) |
Additional Taxonomies | 208D00000X General Practice (Licence: MO 2005020367) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-12-07 |