NPI | 1043281538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M0984) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 026320) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2007-07-08 |