NPI | 1699268870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD478587) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT215705) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2022-08-03 |