NPI | 1184765307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA07069300) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ MA07069300) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2008-01-23 |