NPI | 1497992796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR MD16833) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD16833) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2009-11-09 |