NPI | 1184152746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2022012747) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10061454) |
207L00000X Anesthesiology (Licence: TX S3187) | |
Enumeration Date | 2017-05-26 |
Last Update Date | 2022-08-08 |