NPI | 1962024430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 25493) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61535010) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2024-08-27 |