| NPI | 1881792919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 211953) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 042977) |
| 207L00000X Anesthesiology (Licence: NJ 25MA07555600) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-04-13 |