NPI | 1952350704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME161194) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101235116) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2023-10-04 |