NPI | 1306617139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 811666) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 811666) |
Enumeration Date | 2024-01-10 |
Last Update Date | 2024-01-10 |