NPI | 1669465738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 30187) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35060501) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2010-06-15 |