| NPI | 1376876987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 24023) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 254809) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2024-10-24 |