| NPI | 1043281744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 315335) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L2595) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-09-01 |