NPI | 1174787188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 26800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5927) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2013-02-19 |