NPI | 1649223512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME128420) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WY 6882A) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2023-03-24 |