NPI | 1306073614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: NJ 25MB11075200) |
Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 2017022747) |
207LC0200X Anesthesiology Critical Care Medicine (Licence: NJ 25MB11075200) | |
208600000X Surgery (Licence: NJ 25MB11075200) | |
2086S0102X Surgery Surgical Critical Care (Licence: MO 2017022747) | |
Enumeration Date | 2009-06-12 |
Last Update Date | 2024-04-26 |