NPI | 1922531094 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101265704) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101265704) |
207L00000X Anesthesiology (Licence: TX T3755) | |
Enumeration Date | 2017-04-06 |
Last Update Date | 2024-06-18 |