NPI | 1649234394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD039367L) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA06786200) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2010-07-29 |