NPI | 1790878460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 333124-01) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR DO222743) |
207L00000X Anesthesiology (Licence: ND 21274) | |
207L00000X Anesthesiology (Licence: UT 5537276-1204) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2025-01-21 |