NPI | 1174940209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME136129) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 85065) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2024-05-07 |