NPI | 1528687613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 335719) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 1019513) |
Enumeration Date | 2020-04-09 |
Last Update Date | 2025-08-03 |