| NPI | 1609880806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 240532-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0008872) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-04-01 |