NPI | 1851337570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T7575) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 209854-1) |
207L00000X Anesthesiology (Licence: NM MD2013-0731) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2022-10-13 |