NPI | 1780776591 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2019-0104) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 22123) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2024-09-11 |