NPI | 1750423919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 43796) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 16454) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2008-10-22 |