NPI | 1225560030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 68497) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TPOS525) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2023-08-02 |