NPI | 1871797662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 14926) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME101233) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2013-12-24 |