NPI | 1053976795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0100165) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 96676) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2024-07-04 |