NPI | 1609627090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 80382) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 34439) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2025-07-30 |