| NPI | 1306885439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 164987) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 65944) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-05-17 |