NPI | 1811935216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 88686) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA05490200) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2008-06-19 |