NPI | 1871753038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 49433) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 252430) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2021-06-29 |