| NPI | 1255449906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 187428) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 64842) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2025-01-03 |