NPI | 1730716242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 2968) |
Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
Enumeration Date | 2020-03-25 |
Last Update Date | 2025-02-12 |