NPI | 1275875932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD46119) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD223256) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2025-04-15 |