| NPI | 1508856865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 236076) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 224314) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 224314) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2024-02-12 |