| NPI | 1396309423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 323069) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 323069-01) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-09-14 |