| NPI | 1275518920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 195216-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 195216) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-10-24 |