NPI | 1114931961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A105350) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 240385) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2017-10-31 |