NPI | 1184621047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD431830) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0062147) |
207L00000X Anesthesiology (Licence: NY 249601) | |
Enumeration Date | 2005-07-06 |
Last Update Date | 2015-03-02 |