NPI | 1932499563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME142876) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WV 27190) |
Enumeration Date | 2011-04-16 |
Last Update Date | 2022-07-28 |