NPI | 1306009766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 253304) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 333092) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2024-10-21 |