| NPI | 1881221711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 327221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 12420094-1205) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-07-09 |