| NPI | 1134548548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 299652) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 299654) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-03-24 |