NPI | 1275762387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A130547) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301095024) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2014-06-10 |