NPI | 1386608594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0039824) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD417178) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2009-12-15 |