NPI | 1467530576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G61216) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G61216) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2012-07-31 |