NPI | 1760680383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 18790) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PR 18790) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2019-10-08 |