| NPI | 1548495252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 254710) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P4184) |
| 207L00000X Anesthesiology (Licence: NJ 25MA09213400) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-12-06 |