NPI | 1649479882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD201224) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 81107) |
207L00000X Anesthesiology (Licence: LA MD.201224) | |
207L00000X Anesthesiology (Licence: MI 4301109028) | |
Enumeration Date | 2007-07-17 |
Last Update Date | 2025-04-10 |