| NPI | 1023099504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 236688-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 236688) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-07-03 |