NPI | 1255516183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 61825) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2024-0544) |
Enumeration Date | 2008-01-09 |
Last Update Date | 2025-04-21 |