NPI | 1235472648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 137198) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A137198) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2018-03-17 |