| NPI | 1003870221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA07953900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 48943) |
| 207L00000X Anesthesiology (Licence: MN 70595) | |
| 207L00000X Anesthesiology (Licence: NJ 25MA07953900) | |
| 207L00000X Anesthesiology (Licence: NY 235604) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 235604) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 48943) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2025-07-01 |