NPI | 1659436913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NE 1324) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CT 9764) |
207L00000X Anesthesiology (Licence: NE 1324) | |
207L00000X Anesthesiology (Licence: NC 230174) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2022-03-25 |