NPI | 1982999512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2018-02735) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 261750) |
207L00000X Anesthesiology (Licence: TX BP10039716) | |
Enumeration Date | 2011-06-11 |
Last Update Date | 2024-09-19 |