NPI | 1184612210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C52948) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L0669) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2016-09-20 |