NPI | 1891716122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD431970) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00046490) |
207L00000X Anesthesiology (Licence: PA 431970) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2022-05-19 |