NPI | 1770980336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 411330) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 411330) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2024-07-30 |