NPI | 1902867013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX F7698) |
Additional Taxonomies | 174400000X Specialist (Licence: TX F7698) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2010-08-20 |