| NPI | 1649324302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 080491) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 209432) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 209432) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-10-16 |