NPI | 1790851236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A 9242) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A9242) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2010-06-30 |