NPI | 1770569188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A66085) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 9775) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2015-06-18 |