| NPI | 1285607010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 240387) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00030930) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2023-07-19 |