NPI | 1285160069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 20852) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 56962) |
207R00000X Internal Medicine (Licence: AZ R76284) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-09-10 |