NPI | 1104125707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 102141) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 50912) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2025-04-30 |