NPI | 1043659246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 1297) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 1297) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2017-06-12 |