| NPI | 1023251451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 252495) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 72135) |
| 207L00000X Anesthesiology (Licence: PA MD483967) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2024-06-11 |