NPI | 1982744645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D70429) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D70429) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2011-02-03 |