| NPI | 1306078944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 282878) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 263645) |
| Enumeration Date | 2009-08-16 |
| Last Update Date | 2021-01-27 |