| NPI | 1235453069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60446126) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 293157) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2023-06-30 |