NPI | 1356555312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A87405) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A87405) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2009-04-03 |