NPI | 1376533182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101243404) |
Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MA 226647) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2017-05-23 |