NPI | 1003827403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 09592) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101036233) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2011-08-02 |