NPI | 1720313463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042.0014177) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A110918) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2018-09-13 |