NPI | 1669651758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 245213) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 245213) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2019-08-20 |