NPI | 1811163751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 249690) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 233228) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2012-04-10 |