NPI | 1285856765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT186511) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 23570) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2009-07-21 |