NPI | 1316367899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: DE C1-0013277) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10652300) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2019-10-14 |