| NPI | 1417156613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 243586-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A10075) |
| 207L00000X Anesthesiology (Licence: NY 243586) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-10-08 |