| NPI | 1871752543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 261582) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY P69410) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2024-06-20 |