NPI | 1457515322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08397800) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 248387) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |