NPI | 1003473208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA12277500) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD483827) |
Enumeration Date | 2019-05-22 |
Last Update Date | 2024-08-19 |