NPI | 1316927536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0051360) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD427929) |
207L00000X Anesthesiology (Licence: FL ME 95864) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2015-10-05 |