NPI | 1104402817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 93931) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58.031926) |
Enumeration Date | 2021-03-23 |
Last Update Date | 2025-07-31 |