NPI | 1104808070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 4624) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WY 6970A) |
207L00000X Anesthesiology (Licence: AZ 30104) | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2007-07-08 |