| NPI | 1578599932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D45598) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D45598) |
| 207L00000X Anesthesiology (Licence: NY 183194) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2021-04-12 |