NPI | 1720068018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 69740) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 33883) |
Enumeration Date | 2006-01-20 |
Last Update Date | 2021-12-21 |