NPI | 1669969291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 333241) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 75057) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2024-10-29 |