| NPI | 1861651705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 259806) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0075485) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-03-25 |