NPI | 1063402287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 31144) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 62695) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2011-01-26 |