| NPI | 1053706432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT Pending) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT Pending) |
| 207L00000X Anesthesiology (Licence: NY 288806) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-11-10 |