NPI | 1225283906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 253565) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 253565) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2024-09-06 |