| NPI | 1659323483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 244336) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 031485) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-07-19 |