NPI | 1740329788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM 2005-0364) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 11414) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2016-06-13 |