NPI | 1376509935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD428758) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 229650) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2017-04-06 |