NPI | 1003179961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 49242) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL34900) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2016-07-06 |