NPI | 1811304736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP61473026) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2014018833) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2025-06-03 |