NPI | 1427617059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D96542) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D96542) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2024-08-15 |