NPI | 1083970842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.122049) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301111467) |
207L00000X Anesthesiology (Licence: OH 35.122049) | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2018-10-22 |