| NPI | 1750728887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 287708) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9408184) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-07-19 |