NPI | 1578538765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD046472L) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD046472L) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2007-12-21 |