| NPI | 1316937444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A145073) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 219849-1) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2021-12-06 |