NPI | 1992720833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D91014) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY FL001) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2021-07-07 |