| NPI | 1619219953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 335369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E11524) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2025-03-24 |