| NPI | 1427299445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 272923-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0026740) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2025-11-19 |