| NPI | 1780180703 |
|---|---|
| Former Name | BRANNON JOSEPH ALTENHOFEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A165612) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A165612) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-10-04 |