| NPI | 1316915200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 177342) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA05790600) |
| 207L00000X Anesthesiology (Licence: IN 01085249A) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-07-09 |