| NPI | 1932138328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 195600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 96329) |
| 207L00000X Anesthesiology (Licence: FL 161860) | |
| 207L00000X Anesthesiology (Licence: IL 036.174124) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-05-20 |