NPI | 1679626162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA C54245) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C54245) |
2086S0102X Surgery, Surgical Critical Care (Licence: CA C54245) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2019-12-27 |