| NPI | 1396979282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 66757) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 271459) |
| 207L00000X Anesthesiology (Licence: CT 66757) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 271459) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2020-11-10 |