NPI | 1558357426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM 2000-206) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME49017) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2007-07-09 |