NPI | 1275520801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 038076) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 192793-1) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2010-07-26 |