NPI | 1114103934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME117649) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036171794) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25IA12546900) | |
Enumeration Date | 2008-01-10 |
Last Update Date | 2025-02-28 |