NPI | 1619744349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL CFM1907) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL CFM1907) |
Enumeration Date | 2023-12-04 |
Last Update Date | 2024-03-13 |