NPI | 1710243233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 59273) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA 1161356) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2023-01-18 |