NPI | 1043742018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1019350) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A157422) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2024-11-18 |