NPI | 1699771550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 61946) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 27502) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2024-04-17 |