NPI | 1982896437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q0255) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 48532-020) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2022-09-12 |