NPI | 1588127393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 329602) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 76740) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2024-05-21 |