NPI | 1619962735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 24005) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 20158) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2012-08-10 |