| NPI | 1841441979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 278475) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 228633) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2024-02-26 |