NPI | 1992764872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD11143) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0024776) |
207L00000X Anesthesiology (Licence: VA 0101224160) | |
207L00000X Anesthesiology (Licence: MI 4301034235) | |
Enumeration Date | 2006-03-21 |
Last Update Date | 2007-07-08 |