NPI | 1205828340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C41640) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX G5597) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2013-05-03 |