NPI | 1083710677 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME117308) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA51226) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2023-05-27 |