NPI | 1760829709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R2068) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 52311) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2018-05-09 |