NPI | 1538115969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G68214) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00038649) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2007-07-27 |