| NPI | 1245694710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 316247) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D89721) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A172517) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-10-27 |