NPI | 1457407983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301085116) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME161359) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-08-14 |