NPI | 1063504504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 151518) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M4005) |
207L00000X Anesthesiology (Licence: NV 14594) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2017-09-28 |