NPI | 1104899558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 26265) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO C41879) |
207L00000X Anesthesiology (Licence: MO 2004029832) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2014-10-27 |