NPI | 1780799114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD29027) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A87730) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2012-01-06 |