| NPI | 1891968897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 14761) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 237089) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2025-09-11 |