| NPI | 1528072691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 072719) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 38141) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-02-04 |