| NPI | 1346403672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 263380) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A118400) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-03-05 |