NPI | 1003340688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 57.029327) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 32009) |
207L00000X Anesthesiology (Licence: IL 036-174151) | |
Enumeration Date | 2017-04-20 |
Last Update Date | 2025-07-02 |