NPI | 1588292379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC MMD.92139) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2023-01605) |
Enumeration Date | 2020-03-29 |
Last Update Date | 2024-06-08 |