NPI | 1922299106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P5361) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 006100) |
207L00000X Anesthesiology (Licence: AK 6401) | |
207L00000X Anesthesiology (Licence: IN 02003359A) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2021-12-08 |