NPI | 1669673687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A105353) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57009241) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2008-09-30 |