NPI | 1295021236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 68191) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016009653) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2022-07-22 |