NPI | 1477550853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0064548) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07796900) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2010-08-30 |