| NPI | 1316300304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 292846) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 172966) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-06-28 |