| NPI | 1326388026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A120283) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 275275-1) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2022-07-21 |