NPI | 1275683393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N9381) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 230742) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2014-12-18 |