NPI | 1649275942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 231771) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD444613) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2015-03-30 |