NPI | 1689773277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 231213) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P8151) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-12-21 |