NPI | 1205804978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD021854E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD021854E) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2010-03-04 |