NPI | 1700907417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301075904) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301075904) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2021-04-27 |