| NPI | 1225456437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A141170) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 295362) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-12-13 |