NPI | 1669799110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A135166) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2013-0062) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2018-08-01 |