NPI | 1396064127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 47179) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 47179) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 47179) | |
Enumeration Date | 2010-05-18 |
Last Update Date | 2022-02-25 |