NPI | 1043249451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME58738) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-55094) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2025-07-24 |