NPI | 1538186036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2000157933) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2000157933) |
2086S0102X Surgery, Surgical Critical Care (Licence: MO 2000157933) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-04-25 |