NPI | 1770606154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2011-0658) |
Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NM MD2011-0658) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2024-07-05 |