NPI | 1710418298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A179912) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.141943) |
Enumeration Date | 2017-03-25 |
Last Update Date | 2024-04-09 |