NPI | 1326676214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V1647) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS22807) |
Enumeration Date | 2020-03-28 |
Last Update Date | 2025-09-17 |