NPI | 1962498592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 8360) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042-0009762) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2012-04-20 |