| NPI | 1578726386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 51195) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 264866) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 264866) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-09-08 |