NPI | 1538155759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 8739) |
Additional Taxonomies | 174400000X Specialist (Licence: AZ 25188) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2017-12-31 |