NPI | 1821056656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD450995) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 0062568) |
207L00000X Anesthesiology (Licence: FL ME109438) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2024-07-17 |