NPI | 1669032082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME162398) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL82869) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2023-07-30 |