NPI | 1891770939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08879800) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200500302) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2023-02-03 |