NPI | 1407152697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 263976-1) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 263976) |
Enumeration Date | 2011-02-04 |
Last Update Date | 2019-08-26 |