| NPI | 1609810886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 231569) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A106406) |
| 207L00000X Anesthesiology (Licence: WA MD00046574) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-08-28 |