| NPI | 1063807154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A147428) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 326796) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-12-04 |