| NPI | 1982017083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 287153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 138819) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-10-02 |