NPI | 1356609127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 301690) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R2898) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2016-09-15 |