NPI | 1336584762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09636600) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A118273) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2018-03-02 |