NPI | 1245766641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 94482) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016022714) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2025-07-02 |