| NPI | 1548496904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 285844-1) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX q0146) |
| 207L00000X Anesthesiology (Licence: NY 285844) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 284844) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2023-06-29 |