| NPI | 1265453559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A92969) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 245670) |
| 207L00000X Anesthesiology (Licence: FL ME111560) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-11-09 |