| NPI | 1275647265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 227669) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2276691) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-11-19 |