NPI | 1154423648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 15001) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME72790) |
Enumeration Date | 2006-09-04 |
Last Update Date | 2017-01-13 |