| NPI | 1174899272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD479528) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 293350) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2023-07-06 |