NPI | 1821258138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A126988) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A126988) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2012015104) | |
Enumeration Date | 2008-06-10 |
Last Update Date | 2019-07-17 |