NPI | 1417919168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 151527) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD12287) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2010-08-10 |