NPI | 1932594447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V8645) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101260764) |
207L00000X Anesthesiology (Licence: HI MD21293) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2025-09-24 |