NPI | 1326493636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC MD39655) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL39655) |
207L00000X Anesthesiology (Licence: SC 39655) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2023-12-19 |