NPI | 1023099504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 236688-1) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 236688) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2023-07-03 |