NPI | 1770107278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301511080) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R11893) |
Enumeration Date | 2020-06-01 |
Last Update Date | 2024-06-25 |