NPI | 1194990689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA 443750) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10109800) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2022-07-27 |