| NPI | 1295990067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 263554) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 263554-1) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2021-04-23 |