| NPI | 1659728301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 315337) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 69049) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 315337) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 69049) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-03-23 |