NPI | 1922591296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD214193) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 75098) |
208600000X Surgery (Licence: MI 4301115638) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2024-10-07 |