| NPI | 1194958900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 96863) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 270144) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2023-12-14 |