NPI | 1861629750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A131397) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD448654) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2023-11-27 |