| NPI | 1609197250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A136653) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A136653) |
| 207L00000X Anesthesiology (Licence: NY 293473) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 293473) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-09-16 |