NPI | 1326014879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 235206) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME68723) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2014-09-24 |