NPI | 1942201355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL 96091) |
Additional Taxonomies | 174400000X Specialist (Licence: NH NH10428) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2014-04-24 |