NPI | 1083914519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A119379) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM MD2019-0533) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A119379) | |
Enumeration Date | 2010-11-01 |
Last Update Date | 2024-08-01 |