NPI | 1275066680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301507096) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 1275066680) |
207R00000X Internal Medicine (Licence: MI 4301507096) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2025-08-05 |