NPI | 1023495678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 38038) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 312113) |
207L00000X Anesthesiology (Licence: VT 042-0015635) | |
Enumeration Date | 2015-05-04 |
Last Update Date | 2025-07-09 |