| NPI | 1770518656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 39690) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 235364) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-07-21 |