NPI | 1851822258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-16358) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 55007) |
207L00000X Anesthesiology (Licence: KY R4607) | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2025-01-03 |