NPI | 1306842380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 1798801) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 179380-1) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2015-01-24 |