NPI | 1710109129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME155063) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT185884) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2022-05-16 |