NPI | 1659862985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 323028) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10064949) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2023-10-12 |