NPI | 1376075200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 323583) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 323583) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2024-06-17 |