NPI | 1699725416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9401095) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC MD13867) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2021-04-02 |