NPI | 1962409540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 21487) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 21487) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2008-08-19 |