NPI | 1609860980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 138302) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 29393) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2019-08-12 |