NPI | 1841790417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2023-02816) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101268156) |
207L00000X Anesthesiology (Licence: PA MD486526) | |
Enumeration Date | 2018-02-20 |
Last Update Date | 2024-08-12 |