NPI | 1780046151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD470624) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA12650600) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA12650600) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2025-10-01 |