NPI | 1043598857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 42753) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME141132) |
Enumeration Date | 2011-07-27 |
Last Update Date | 2025-02-04 |