NPI | 1558943340 |
---|---|
Other Name | N/A N/A |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 28045) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 1558943340) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2025-09-03 |