| NPI | 1013924877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD25573) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 258840) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-07-07 |