NPI | 1144292111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M-9858) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 46799) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2011-10-04 |