| NPI | 1013126093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 261163) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01060778A) |
| 207L00000X Anesthesiology (Licence: MD D0066871) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-12-16 |