NPI | 1659878510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 313298) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 313298-01) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-12-05 |