NPI | 1215192414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N2995) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 248458) |
207L00000X Anesthesiology (Licence: OK 4720) | |
Enumeration Date | 2008-07-28 |
Last Update Date | 2009-07-23 |