NPI | 1053392779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME117367) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301081167) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2025-07-15 |