NPI | 1861620452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD450759) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195943) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2014-10-22 |