NPI | 1104815422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD019897E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD019897E) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2013-08-01 |