NPI | 1659573806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 52084) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD 204477) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-10-01 |