NPI | 1760611941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60662918) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195447) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2024-02-08 |