NPI | 1750319364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 102965) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M2613) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2012-11-09 |