NPI | 1104404136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 102903-875) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV DO3927) |
Enumeration Date | 2021-03-31 |
Last Update Date | 2025-09-10 |