| NPI | 1942398342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 309169) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME98877) |
| 207L00000X Anesthesiology (Licence: DC MD036338) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-09-27 |