NPI | 1285631671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 162810) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA 51764) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2023-09-17 |