| NPI | 1124046255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 196992) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 196992) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-02-26 |