NPI | 1609950062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA67508) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD056734L) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2018-11-20 |