NPI | 1508029729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 55077) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD156935) |
207L00000X Anesthesiology (Licence: PA MD447508) | |
Enumeration Date | 2008-07-08 |
Last Update Date | 2016-08-01 |