NPI | 1578508362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX T8068) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D71866) |
207L00000X Anesthesiology (Licence: TX T8068) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A92457) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D71866) | |
Enumeration Date | 2006-06-17 |
Last Update Date | 2024-05-01 |