NPI | 1750380614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD461996) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0063735) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2022-08-04 |