NPI | 1073715090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M-10006) |
Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AZ 76558) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2011-11-04 |