| NPI | 1023089364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 224538) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 234365) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-01-24 |