NPI | 1790965507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1525) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS014782) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2022-02-01 |