NPI | 1477797132 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08856600) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 012850) |
Enumeration Date | 2009-04-26 |
Last Update Date | 2015-03-25 |