NPI | 1962249573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 80366) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 34329) |
Enumeration Date | 2024-07-10 |
Last Update Date | 2025-07-31 |