NPI | 1336146851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 191033) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA 65839) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2024-10-08 |