NPI | 1265605273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C155953) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME113017) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2018-07-11 |