NPI | 1154874212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL TRN23654) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 23654) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2022-07-21 |