| NPI | 1467468637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 27299) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 195140) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-10-27 |