| NPI | 1043206048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 228264) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 230098) |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2025-03-17 |