NPI | 1821088295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD054657L) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME157134) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2024-07-09 |