| NPI | 1720493794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 308141) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: NY 308141) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-07-07 |