NPI | 1285999623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA GETP.201325) |
Additional Taxonomies | 208600000X Surgery (Licence: MS 825-L) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2018-04-26 |