NPI | 1689848368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 250895) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A106247) |
207L00000X Anesthesiology (Licence: IL 036.129060) | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2012-10-25 |