| NPI | 1346213022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 176166) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME59510) |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2022-07-21 |