| NPI | 1083706667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 190137-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 047003) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-10-16 |