NPI | 1588161756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD216160) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 291150) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2024-02-06 |