NPI | 1427375088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD180854) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A131836) |
207L00000X Anesthesiology (Licence: UT 6233464-1205) | |
Enumeration Date | 2010-04-22 |
Last Update Date | 2017-02-10 |