| NPI | 1750494837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 230979) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 81579) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-12-20 |