NPI | 1699865287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G64579) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 18396-875) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: UT 365543-1205) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-02-25 |