NPI | 1639106800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A95842) |
Additional Taxonomies | 174400000X Specialist (Licence: CO 40956) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2008-11-12 |