| NPI | 1174593073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 14640) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 228118) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-12-31 |