NPI | 1922591296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 75098) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301115638) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2023-08-17 |