NPI | 1679635783 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA06739000) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ MA06739000) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2017-02-03 |