| NPI | 1861550725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 240395) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DC MD037339) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 240395) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-03-10 |