NPI | 1881957876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR 119602) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME128740) |
Enumeration Date | 2012-06-24 |
Last Update Date | 2025-05-13 |