NPI | 1699094383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 27464) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WV 27464) |
207LP2900X Anesthesiology, Pain Medicine (Licence: WV 27464) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WV 27564) | |
Enumeration Date | 2010-05-20 |
Last Update Date | 2023-11-03 |