NPI | 1326675307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1018662) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A204187) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2025-09-18 |