NPI | 1649246349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 220323) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 220323) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2021-12-20 |