NPI | 1710544754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61680271) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-51545) |
Enumeration Date | 2019-05-24 |
Last Update Date | 2025-05-27 |