NPI | 1295352805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA12277200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220351) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2024-10-14 |