NPI | 1386601607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 164589-01) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 1645891) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2021-06-14 |