NPI | 1972658482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ AZ30822) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 12686) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2016-11-16 |