NPI | 1477965820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 53667) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 53667) |
Enumeration Date | 2014-05-20 |
Last Update Date | 2022-08-26 |