NPI | 1154814556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2023-02965) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S3012) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2023-11-30 |