NPI | 1255750527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME161675) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101264879) |
207L00000X Anesthesiology (Licence: IL 036.160196) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2023-10-24 |