NPI | 1578656708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 220780) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 28905) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2012-01-25 |