NPI | 1750344032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 17899) |
Additional Taxonomies | 174400000X Specialist (Licence: AZ 17899) |
Enumeration Date | 2006-04-08 |
Last Update Date | 2011-01-25 |