NPI | 1750588224 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 274086) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P5802) |
207L00000X Anesthesiology (Licence: PA OS017008) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2021-03-02 |