NPI | 1063683217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0072618) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD442908) |
207L00000X Anesthesiology (Licence: VA 0101249934) | |
Enumeration Date | 2008-03-17 |
Last Update Date | 2013-07-10 |