NPI | 1770774036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A99853) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A99853) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2015-08-26 |