NPI | 1568698934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 070688) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 070688) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2015-07-02 |