| NPI | 1285263491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 79576) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 327209) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-10-21 |