NPI | 1801963947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60050882) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL29501) |
207L00000X Anesthesiology (Licence: MI L1154431) | |
208D00000X General Practice (Licence: WA MD60050882) | |
202C00000X Independent Medical Examiner (Licence: WA MD60050882) | |
209800000X Legal Medicine (Licence: WA MD60050882) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2015-07-03 |