| NPI | 1649215484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 49123) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 229840) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-12-17 |