NPI | 1467424051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD15226) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD d30103) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2011-10-17 |