NPI | 1750319380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301048462) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301048462) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2013-08-23 |