| NPI | 1306824081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD18270) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0032926) |
| 207L00000X Anesthesiology (Licence: NY 168894) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-12-28 |