NPI | 1750589214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY TP221) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101244049) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101244049) | |
Enumeration Date | 2007-07-06 |
Last Update Date | 2022-11-09 |