NPI | 1689632127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60872008) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0430797) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-01-09 |