NPI | 1518128644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60539006) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A116096) |
207L00000X Anesthesiology (Licence: OR MD166680) | |
Enumeration Date | 2008-06-20 |
Last Update Date | 2015-05-19 |