NPI | 1134177041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 248641) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME95645) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2011-12-09 |