NPI | 1184824690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08686000) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 243786-1) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2021-03-05 |