NPI | 1588984082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301106854) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT197023) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2015-07-21 |