NPI | 1578793279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA a107682) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036.120954) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2022-08-30 |