NPI | 1710997093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 4640-320) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60057947) |
207L00000X Anesthesiology (Licence: PA MD428777) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2024-08-30 |