NPI | 1063420834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 102629) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 49081) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2007-07-08 |