| NPI | 1518540731 |
|---|---|
| Former Name | JOSHUA LOUIS SANDERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 81864) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2022-02981) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-07-21 |