| NPI | 1588027270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 333688) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0095921) |
| 207L00000X Anesthesiology (Licence: CT 1.079975) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2025-10-03 |