| NPI | 1649593484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 261871) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A124046) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2022-02-03 |