NPI | 1144240870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G58442) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD031505E) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-08 |