NPI | 1306842372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 191851) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 12005) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2023-02-17 |