| NPI | 1033124847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 252425) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 000686) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-11-07 |