| NPI | 1518306232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 302896) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2013017841) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2024-10-27 |