NPI | 1053422972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 249591) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME95233) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-12-16 |