NPI | 1578026233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS023159) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS22158) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2025-05-23 |