NPI | 1386218485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2025-01251) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL83550) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2025-06-30 |