NPI | 1073176228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0072967) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS023382) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2025-06-18 |