NPI | 1770590820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R7527) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60058186) |
207L00000X Anesthesiology (Licence: NC 2017-01866) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2024-10-23 |