NPI | 1447221817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 24176) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AL 24176) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AL 24176) | |
2083A0100X Preventive Medicine, Aerospace Medicine (Licence: AL 24176) | |
208D00000X General Practice (Licence: AL 24176) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2011-06-24 |