| NPI | 1497140701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 23318) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 273131) |
| 207L00000X Anesthesiology (Licence: NY 296889) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-06-29 |