| NPI | 1114242435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 278926) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 52958) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2024-04-30 |