NPI | 1841214434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 061402) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 240495) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2012-03-28 |