NPI | 1760433098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 56749) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 60074) |
207L00000X Anesthesiology (Licence: ME MD22759) | |
207L00000X Anesthesiology (Licence: TX J8572) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2024-04-01 |