NPI | 1417243239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A126668) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A126668) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0058295) | |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A126668) | |
Enumeration Date | 2011-06-20 |
Last Update Date | 2023-07-12 |