| NPI | 1609028851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MS 23338) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 297910) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-07-03 |