| NPI | 1134325525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 318634-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2011-0226) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2022-09-25 |