NPI | 1487600250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME113870) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C38755) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2017-03-02 |