NPI | 1205985249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A98130) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 234470-1) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2008-08-04 |