| NPI | 1942221379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 218081) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 218081) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-03-17 |