NPI | 1235112434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 157325-1) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 157325) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2025-08-26 |