NPI | 1346243201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 200301065) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 40306) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2017-04-27 |