NPI | 1558362236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX E6515) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 12296) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2013-03-18 |