NPI | 1831366855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301090450) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301090450) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2023-10-24 |