NPI | 1861953002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 76176) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 1013106) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2024-09-15 |