| NPI | 1942514401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 264674) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036171509) |
| 207L00000X Anesthesiology (Licence: FL ME173661) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2025-09-15 |