NPI | 1063533974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301086767) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N1890) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2013-08-26 |