NPI | 1669834602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A155754) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GU MD-P-2023-001) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2023-10-30 |