NPI | 1821444605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A148470) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 65473) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2021-10-01 |