NPI | 1730120528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301031500) |
Additional Taxonomies | 174400000X Specialist (Licence: 4301031500) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2012-10-23 |