NPI | 1366549602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G081857) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 246549) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2009-04-10 |