NPI | 1912115692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 63580) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 4754) |
207L00000X Anesthesiology (Licence: VA 0102201925) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2010-07-06 |