NPI | 1942311840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G70413) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N8913) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-05-02 |