NPI | 1083687354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A6754) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 1096) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2016-10-31 |