NPI | 1902170673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO2048) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 339509) |
Enumeration Date | 2012-02-28 |
Last Update Date | 2025-09-18 |