NPI | 1225118052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301056321) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301056321) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2012-09-20 |