NPI | 1689670374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WY 9882A) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 9900328) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2015-07-13 |