NPI | 1255449906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 187428) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 64842) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2025-01-03 |