NPI | 1578768222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 44647) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME101011) |
207L00000X Anesthesiology (Licence: MD D69246) | |
207L00000X Anesthesiology (Licence: NJ 25MA08537600) | |
Enumeration Date | 2007-06-20 |
Last Update Date | 2011-10-10 |