NPI | 1538270517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD166069) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD0048524) |
207L00000X Anesthesiology (Licence: CA A119637) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR MD166069) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2018-10-19 |