NPI | 1003804535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 200000650) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 52031) |
207L00000X Anesthesiology (Licence: SC 52289) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 200000650) | |
Enumeration Date | 2005-10-10 |
Last Update Date | 2024-09-23 |