| NPI | 1356978001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042.0017907) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 334035) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-12-23 |