NPI | 1164983508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 74316) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 11885653-1205) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2025-07-24 |