NPI | 1922392679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C179364) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 16004) |
Enumeration Date | 2011-05-29 |
Last Update Date | 2022-10-21 |