NPI | 1982967535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS21630) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX Q8947) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2025-02-10 |