NPI | 1821593799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 316366) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA12393100) |
Enumeration Date | 2018-03-24 |
Last Update Date | 2025-04-15 |