NPI | 1245227388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00038391) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD23501) |
174400000X Specialist | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2009-04-02 |