NPI | 1578510863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q6725) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 151881) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2015-12-31 |