| NPI | 1700081486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 260354-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 260354) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-07-06 |