| NPI | 1144294943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2020-03599) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 228274) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2024-06-20 |