| NPI | 1356660138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 274670) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 274670) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 274670) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2023-07-03 |