| NPI | 1467692210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 241302) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 64241) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2024-05-31 |