| NPI | 1831103985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS21086) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 238362) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-01-02 |