| NPI | 1922206838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 232918) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 275626) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-04-28 |