NPI | 1629283775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1394) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P1394) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2019-05-02 |