NPI | 1649324302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 080491) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 209432) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 209432) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2018-10-16 |