NPI | 1992971063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C181331) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60888861) |
207L00000X Anesthesiology (Licence: NM MD2008-0165) | |
Enumeration Date | 2008-05-07 |
Last Update Date | 2022-11-08 |