NPI | 1538151543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A15990) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX Q5984) |
207L00000X Anesthesiology (Licence: NJ 25MB07481600) | |
207Q00000X Family Medicine (Licence: NJ MB074816) | |
Enumeration Date | 2005-08-16 |
Last Update Date | 2018-06-15 |