NPI | 1699827550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD438375) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT187920) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2011-05-26 |