NPI | 1275592974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 25250) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 22071) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2012-09-13 |