NPI | 1770526311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 155340) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-11459) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2018-06-21 |