NPI | 1861513509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 37144) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5315252047) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2024-10-10 |