NPI | 1972731024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2013-0555) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM 207L00000X) |
Enumeration Date | 2009-06-28 |
Last Update Date | 2022-02-04 |