NPI | 1174615751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 167355) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 167355-1) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2011-01-28 |