NPI | 1124238035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME116311) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 248483) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2013-08-14 |