NPI | 1316110455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A119688) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 53787) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2016-10-03 |