NPI | 1235101379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A84394) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101241808) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2014-04-30 |