NPI | 1023242849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 262969) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 254112) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2020-05-28 |