| NPI | 1538302146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 267726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2016-0530) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-11-29 |