NPI | 1710913819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 15445) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME73967) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2014-10-16 |