NPI | 1205464112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD29450) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: ME MD29450) |
Enumeration Date | 2020-03-28 |
Last Update Date | 2025-07-21 |