NPI | 1932513728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 33956) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10054573) |
207R00000X Internal Medicine (Licence: NE 7219) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2019-12-16 |