NPI | 1760611727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101261856) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 256193) |
Enumeration Date | 2009-07-10 |
Last Update Date | 2018-03-17 |