NPI | 1578797163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 57307) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60456394) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD60456394) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 57307) | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2020-10-01 |