NPI | 1629374194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME111385) |
Additional Taxonomies | 174400000X Specialist (Licence: FL HSE14374) |
Enumeration Date | 2011-02-01 |
Last Update Date | 2012-03-06 |