NPI | 1588631766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME97392) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 20145) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2008-11-18 |