NPI | 1295096147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10439700) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD455921) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2019-07-09 |