NPI | 1912392523 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 55302) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 55302) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 55302) | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2024-10-16 |