| NPI | 1295965960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D88386) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 335128) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2025-08-11 |