NPI | 1114929031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 030353) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME129931) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2018-03-17 |