NPI | 1811004807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN DO1703) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 12042620) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2021-09-22 |