NPI | 1013091164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA TR60264609) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 98-01573) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2015-01-24 |