NPI | 1215905963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 66611) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 24084) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 66611) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: OK 24084) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-11-05 |