| NPI | 1558534818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 247352) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 247352) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2023-03-21 |