| NPI | 1801908322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A96307) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 242730-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-09-16 |