NPI | 1760418859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 200590) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 200590-1) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2024-09-27 |