NPI | 1295232601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD224659) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A188011) |
207L00000X Anesthesiology (Licence: CO DR.0068788) | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2025-08-12 |