| NPI | 1164497384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 37643) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 206701) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2022-10-05 |